@dinu My husband is not in military, but we use American insurance (CIGNA) here. We got PSA test done at UniversityKlinik Tuebingen on 29 Jan and then got PSMA PET/CT scan there on 4 Feb. We met with the chief urologist for the result on 12 Feb. So far, we have two appointments with radiation oncologists: one at Uni-klinik Tuebingen on this Friday and another one at Ludwigsburg Hospital on 2 March (the chief urologist here but he used to be at Uni-Klinik Tuebingen).

Unfortunately, we do have to pay everything out-of-pocket for outpatient visits like this, so sometimes they considered us "self-payers". CIGNA has been reimbursed us on all cancer-related costs, including the cost of second opinions we've got. From my personal experience, the medical fees are so varies here. That's the reason why I always go to couple places and get cost estimations & the chief physicians' portfolio to compare and choose the one we think it is best for us medically and financially. It's been mind blowing experience navigating through German medical systema and dealing with their billing departments, plus CIGNA.

P.S. It seemed the PSMA price at Uni-Tuebingen is higher. They quoted me 2,500 euros but They haven't sent the actual bills. I'll keep you posted when I get the actual bill. I'm anxious to know the exact cost. They always gave me estimation that is double of what the actual bills are.